Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Larry Keith Whitaker Jr., PA

Individual provider Physician Assistant · NPI 1205870649

Mr. Larry Keith Whitaker Jr., PA is a Physician Assistant in Hoopeston, Illinois. Qualified in 2004, 22 years ago. Practices with Hoopeston Community Memorial Hospital, a 143-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

801 E Orange St Hoopeston Community Memorial Hospital Dba Charlotte Ann
Hoopeston, IL 60942-1802
Phone: (217) 283-5644
Fax: (217) 283-7432
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085002299 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085002299 (IL)

Record details

NPI number1205870649
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 16, 2006
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Hoopeston Community Memorial Hospital — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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